Individual
ELLEN MARIE MUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2400 W FRIENDLY AVE, GREENSBORO, NC 27403-1109
(336) 832-1100
Mailing address
200 QUEENS RD STE 400, CHARLOTTE, NC 28204-3264
(980) 890-6063
(704) 333-3397
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13659
NC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/22/2023
Last updated
05/31/2024
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